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Bite Injuries among Vaccination Staff Participating in a Mass Canine Rabies Vaccination Campaign, Haiti 2016–2017

Elimination of dog-transmitted human rabies worldwide will require large-scale dog vaccination campaigns. However, this places participating vaccinators at increased risk. Data from the 2016–2017 Haitian mass rabies vaccination campaign was analyzed to determine dog bite incidence among vaccinators....

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Autores principales: Kirkhope, Rudy T., Gibson, Andrew D., Augustin, Pierre Dilius, Crowdis, Kelly, Fénelon, Natael, MacLeod, Ewan T., Vigilato, Marco A. N., Pieracci, Emily G., Wallace, Ryan M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The American Society of Tropical Medicine and Hygiene 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8641350/
https://www.ncbi.nlm.nih.gov/pubmed/34491218
http://dx.doi.org/10.4269/ajtmh.21-0241
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author Kirkhope, Rudy T.
Gibson, Andrew D.
Augustin, Pierre Dilius
Crowdis, Kelly
Fénelon, Natael
MacLeod, Ewan T.
Vigilato, Marco A. N.
Pieracci, Emily G.
Wallace, Ryan M.
author_facet Kirkhope, Rudy T.
Gibson, Andrew D.
Augustin, Pierre Dilius
Crowdis, Kelly
Fénelon, Natael
MacLeod, Ewan T.
Vigilato, Marco A. N.
Pieracci, Emily G.
Wallace, Ryan M.
author_sort Kirkhope, Rudy T.
collection PubMed
description Elimination of dog-transmitted human rabies worldwide will require large-scale dog vaccination campaigns. However, this places participating vaccinators at increased risk. Data from the 2016–2017 Haitian mass rabies vaccination campaign was analyzed to determine dog bite incidence among vaccinators. A survey was then developed for completion by all identifiable bitten vaccinators covering demographics; experience and training; bite episode details; attitudes toward dogs and rabies; and medical care. A parallel group of unbitten vaccinators was also surveyed. Dog bite incidence was 0.03% (43/127,000) of all dogs vaccinated. The capture, vaccinate, and release method of vaccination carried a significantly higher risk of dog bite (0.35%, 6/1,739 vaccinations) than other methods (P < 0.001). Twenty-seven bitten vaccinators, and 54 control vaccinators were included in the survey analysis. No differences were found between groups in demographics, experience, or training. However, bitten vaccinators were significantly more likely than the control group to have experienced a dog bite before the study period (P < 0.001). This may be associated with a lesser appreciation of dogs, and/or a poorer ability to interpret dog behavioral signals within this group. Although 98% of the control group indicated they would seek medical care for a dog bite, only 35% of bitten vaccinators sought such care. On a yearly basis, for the Haitian campaign, a full series of postexposure rabies vaccinations for all bite victims would prove more cost-effective than preexposure vaccination of all vaccinators. These findings may prove useful for the planning and safety of future mass dog vaccination campaigns.
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spelling pubmed-86413502021-12-10 Bite Injuries among Vaccination Staff Participating in a Mass Canine Rabies Vaccination Campaign, Haiti 2016–2017 Kirkhope, Rudy T. Gibson, Andrew D. Augustin, Pierre Dilius Crowdis, Kelly Fénelon, Natael MacLeod, Ewan T. Vigilato, Marco A. N. Pieracci, Emily G. Wallace, Ryan M. Am J Trop Med Hyg Articles Elimination of dog-transmitted human rabies worldwide will require large-scale dog vaccination campaigns. However, this places participating vaccinators at increased risk. Data from the 2016–2017 Haitian mass rabies vaccination campaign was analyzed to determine dog bite incidence among vaccinators. A survey was then developed for completion by all identifiable bitten vaccinators covering demographics; experience and training; bite episode details; attitudes toward dogs and rabies; and medical care. A parallel group of unbitten vaccinators was also surveyed. Dog bite incidence was 0.03% (43/127,000) of all dogs vaccinated. The capture, vaccinate, and release method of vaccination carried a significantly higher risk of dog bite (0.35%, 6/1,739 vaccinations) than other methods (P < 0.001). Twenty-seven bitten vaccinators, and 54 control vaccinators were included in the survey analysis. No differences were found between groups in demographics, experience, or training. However, bitten vaccinators were significantly more likely than the control group to have experienced a dog bite before the study period (P < 0.001). This may be associated with a lesser appreciation of dogs, and/or a poorer ability to interpret dog behavioral signals within this group. Although 98% of the control group indicated they would seek medical care for a dog bite, only 35% of bitten vaccinators sought such care. On a yearly basis, for the Haitian campaign, a full series of postexposure rabies vaccinations for all bite victims would prove more cost-effective than preexposure vaccination of all vaccinators. These findings may prove useful for the planning and safety of future mass dog vaccination campaigns. The American Society of Tropical Medicine and Hygiene 2021-12 2021-09-07 /pmc/articles/PMC8641350/ /pubmed/34491218 http://dx.doi.org/10.4269/ajtmh.21-0241 Text en © The American Society of Tropical Medicine and Hygiene https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution (CC-BY) License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Articles
Kirkhope, Rudy T.
Gibson, Andrew D.
Augustin, Pierre Dilius
Crowdis, Kelly
Fénelon, Natael
MacLeod, Ewan T.
Vigilato, Marco A. N.
Pieracci, Emily G.
Wallace, Ryan M.
Bite Injuries among Vaccination Staff Participating in a Mass Canine Rabies Vaccination Campaign, Haiti 2016–2017
title Bite Injuries among Vaccination Staff Participating in a Mass Canine Rabies Vaccination Campaign, Haiti 2016–2017
title_full Bite Injuries among Vaccination Staff Participating in a Mass Canine Rabies Vaccination Campaign, Haiti 2016–2017
title_fullStr Bite Injuries among Vaccination Staff Participating in a Mass Canine Rabies Vaccination Campaign, Haiti 2016–2017
title_full_unstemmed Bite Injuries among Vaccination Staff Participating in a Mass Canine Rabies Vaccination Campaign, Haiti 2016–2017
title_short Bite Injuries among Vaccination Staff Participating in a Mass Canine Rabies Vaccination Campaign, Haiti 2016–2017
title_sort bite injuries among vaccination staff participating in a mass canine rabies vaccination campaign, haiti 2016–2017
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8641350/
https://www.ncbi.nlm.nih.gov/pubmed/34491218
http://dx.doi.org/10.4269/ajtmh.21-0241
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